Provider Demographics
NPI:1831480664
Name:JARMAN, MARVA ANNMARIE
Entity Type:Individual
Prefix:MS
First Name:MARVA
Middle Name:ANNMARIE
Last Name:JARMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MARVA
Other - Middle Name:ANNMARIE
Other - Last Name:JARMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9600 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3649
Mailing Address - Country:US
Mailing Address - Phone:954-435-1093
Mailing Address - Fax:
Practice Address - Street 1:9600 SW 11TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-3649
Practice Address - Country:US
Practice Address - Phone:954-435-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22508225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant